# MELISSA A STEWART

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Melissa's Group Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629195607
- **Authorized official:** MRS. MELISSA A STEWART BS (OWNER)
- **Authorized official phone:** (573) 471-4219

## Contact information

- **Practice address:** 106 DACUS, SIKESTON, MO 63801
- **Practice address phone:** (573) 471-4219
- **Mailing address:** 106 DACUS DR, SIKESTON, MO 63801-9013
- **Mailing address phone:** (573) 471-4219

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 13678892 | MO | Yes |

## Other

- **Enumeration date:** 03/23/2007
- **Last updated:** 09/18/2015